Friends of Salem Audubon Society Membership Form

(Print form, fill out and mail)

           ____New                       ____Renewal

Level of support - Check applicable box

      ___ $30     Hummingbird - individual

___ $40        Swallow - family

             ___ $100      Meadowlark - contributor

       ___ $250     Chickadee - supporter

  ___ $500        Bluebird - patron

          ___ $1000     Kingfisher - benefactor

 

Make checks to Salem Audubon Society.

             Note:   The mailing list is NOT sold or given to others.

            

Address: __________________________________

City/State/Zip: ______________________________

Telephone: ________________________________

E-mail: ___________________________________

             _____ Please add me to your email alert list.

    Mail membership form and check to:         

  Salem Audubon Society, 189 Liberty St. NE, Ste. 210, Salem, OR 97301-3599